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Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Parent organization
PROVIDENCE HEALTH & SERVICES
Other names
Providence Medical Group Montana, PMG MT Women's Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1211 S RESERVE ST STE 101, MISSOULA, MT 59801-3103
(406) 327-3057
(406) 327-3231
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114
(406) 327-1918
(406) 329-2937
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/06/2009
Last updated
09/16/2026
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